Job Title:
Sr. Claim Examiner – Workers’ Compensation
Location:
Fairfax, Virginia
Job Type:
Full-time, 2-month On-Going Contract, W2
Schedule:
Monday – Friday, Remote, EST preferred
Pay Range:
$35.59 per hour
Visa sponsorship is not available now or in the near future.
Job Description:
Key Responsibilities:
-
Interpret policy coverages and determine claim applicability.
-
Manage complex workers’ compensation claims throughout the claim lifecycle.
-
Conduct and oversee claim investigations.
-
Direct litigation and discovery strategy in partnership with legal counsel.
-
Establish appropriate reserves and authorize claim payments within authority limits.
-
Negotiate and settle claims promptly and equitably.
-
Ensure timely issuance of payments and claim disbursements.
-
Identify and pursue subrogation and third-party recovery opportunities.
-
Analyze claims activity and prepare reports for clients, carriers, and management.
-
Participate in claim reviews and provide recommendations on claim strategy.
Requirements
-
4+ years of workers’ compensation claims experience.
-
Experience handling complex and litigated workers’ compensation claims.
-
Strong reserve analysis and settlement authority experience.
-
Experience with claim investigations and recovery efforts.
-
Active Workers’ Compensation Adjuster License as required by jurisdiction.
-
Ability to work effectively in a remote environment.
Preferred Qualifications
-
Experience with subrogation and third-party recovery.
-
Prior experience with carriers, TPAs, or self-insured organizations.
-
Multi-state workers’ compensation claim handling experience.
-
Professional insurance industry designations.
Skills
-
Strong workers’ compensation claims management expertise.
-
Advanced investigative and claim resolution skills.
-
Excellent written and verbal communication skills.
-
Strong negotiation and presentation abilities.
-
Ability to work independently and make sound business decisions.
-
Advanced analytical and problem-solving capabilities.
-
Ability to prioritize and manage multiple claims simultaneously.
-
Experience collaborating with legal counsel on litigated claims.
Education
-
Bachelor’s degree or equivalent experience required.
#LI-LH1